decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Electroconvulsive Therapy Services / Documentation
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Article Overview
This article explains the general documentation elements used to support electroconvulsive therapy services in the medical record. It is intended for clinicians, coding staff, and documentation reviewers who need to understand the types of information typically recorded to support service justification and medical necessity.
Why This Topic Matters
Accurate documentation can help support appropriate review of electroconvulsive therapy services and reduce denials related to incomplete records.
What You Will Learn
- What documentation elements are typically recorded for electroconvulsive therapy services
- How the medical record can support medical necessity review
- What kinds of prior treatment information may be relevant to documentation
- What patient circumstances may need to be noted in the record
Who Should Read This
- Coders
- Clinical documentation staff
- Physicians and other treating providers
- Utilization review staff
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